Customer Stories / Healthcare & Life Sciences

2023
CK Birla Hospitals Logo

CK Birla Hospitals Improves Financial Close Processes by Migrating SAP to the AWS Cloud

Find out how one of the biggest multi-specialty hospitals in Kolkata, India, streamlined its financial and supply chain processes, and provided a stable system that has near-100% availability. 

20%

Cost reduction over a period of 5 years by migrating to the cloud

US$250,000

Saved on hardware upgrades

99.95%

System durability since migrating to the cloud

Overview

India-based CK Birla Hospitals (CKBH) comprises three landmark entities: Calcutta Medical Research Institute, BM Birla Heart Research Centre, and Rukmani Birla Hospital. Together, the three entities have over 800 beds and offer comprehensive outpatient and inpatient services across Kolkata and Jaipur.

CKBH has an established team of physicians, surgeons, healthcare providers, and internationally trained nurses that serve up to 1,000 local and international patients per day during peak periods. 

Since 2017, CKBH has been using a co-located, on-premises infrastructure to host its SAP solutions. However, due to the on-premises deployment, the IT Team was unable to scale up its applications, such as SAP S/4HANA, to meet the growing demand of the business. This meant delays and disruptions in financial book closing, finance reconciliation, and statutory auditing processes.

After migrating its SAP solutions to Amazon Web Services (AWS) in 2022, CKBH has improved its internal financial and supply chain processes, and is now able to close its books on time. At the same time, the teams have benefitted from better system performance and availability, disaster recovery, and security compliance. 

Opportunity | Migrating to an Infrastructure that can Scale to Accommodate Rising Patient Load 

CKBH has implemented SAP S/4HANA, an enterprise resource planning tool for inventory management, financial reporting, and accounting, as a backbone for their supply chain and financial processes. The SAP application communicates in real time to the Hospital Information System (HIS), which manages and organizes all healthcare-related data, including electronic medical records, patient registration, admission and discharge, and billing. 

As patient numbers grew by 40 percent between 2020 and 2022, the co-located, on-premises infrastructure was unable to handle the increased traffic demands, which led to frequent downtimes. This impacted the daily operations of the business, including processes like financial reconciliation, vendor payments, and inventory management. CKBH was also unable to update its SAP S/4HANA to the latest version, which prevented the hospital from taking advantage of newer features to achieve better integration of its systems and seamless data exchange.

While procuring new server hardware would increase storage and computing capacity, it would mean a large CAPEX investment, a lengthy procurement process, and huge effort from internal IT teams. By CKBH’s estimates, the new hardware would have cost an additional US$250,000. 

CKBH's IT teams also needed to spend effort manually updating its security framework as the hospital handles up to 1 terabyte-worth of highly sensitive medical and financial data of its patients.

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AWS and AeonX guided us through our entire cloud migration journey, from initial discussions, planning, to the eventual execution phase. They assessed our business objectives with a long-term view, and recommended a roadmap that didn’t stop at the migration of SAP. This is a small step in the overall digital transformation and forms the foundation for building the future technology blocks.”

Mitali Biswas
Chief Information Officer, CK Birla Hospitals

Solution | Setting a Foundation for Digital Transformation 

In the first part of its digital transformation journey, CKBH worked with AWS and AeonX Digital Solutions Private Limited, an AWS Technology Partner, to migrate the hospital’s SAP S/4HANA from a co-located, on-premises deployment to the cloud.

After upgrading SAP S/4HANA on AWS to the latest version, it now has more seamless integration and faster data flow between CKBH’s existing solutions, such as HIS and SAP Fiori. CKBH also improved the durability of its system from 95.27 percent to 99.95 percent uptime.

SAP on AWS also allows CKBH access to over 200 AWS services. For instance, by using Amazon Elastic Compute Cloud Reserved Instances (Amazon EC2 Reserved Instances), Amazon Simple Storage Service (Amazon S3), and Amazon Elastic File System (Amazon EFS),  CKBH can now automatically scale capacity, instances, and storage for its SAP applications. This allows the hospital to handle traffic surges and high data flow volumes at peak periods.

Additionally, the migration of SAP to the AWS Cloud improved CKBH’s compliance and disaster recovery capabilities. With AWS Direct Connect, CKBH can now bypass the public internet and securely transfer data over a private connection to an AWS environment. CKBH also deploys Amazon Virtual Private Cloud (Amazon VPC) and AWS CloudTrail to secure and monitor connections, screen traffic, and restrict instance access within a logically isolated virtual network. In addition, CKBH utilizes AWS Elastic Disaster Recovery (AWS EDR) to minimize downtime and data loss with fast, reliable recovery of its SAP. AWS services allow CKBH to have full control over the entire virtual networking environment, while maintaining a high level of data security. 

As part of its migration, the CKBH team worked extensively with AWS to address queries regarding cost, security, and designed a long-term roadmap of its cloud deployment. AWS helped familiarize the team with the new cloud environment by running workshops and hands-on sessions. The SAP migration was completed within four months in October 2022. 

Outcome | Achieving Better System Performance and Timely Financial Book Closing

CKBH is now planning the migration of its HIS onto the AWS Cloud, which is expected to be completed in May 2023. The AWS shared responsibility model lets CKBH meet its security responsibilities and SAP regulatory compliance without the need for an in-house data security team.  

Once CKBH migrates the HIS to the AWS Cloud, its SAP Fiori-based mobile platform will follow suit for better inventory management. CKBH will also actively work with AWS to set up a data lake for data-driven analytics and gain insights for better decision-making. 

Learn More

To learn more, visit  https://aws.amazon.com/health/

About CK Birla Hospitals

India-based CK Birla Hospitals (CKBH) comprises three landmark entities: Calcutta Medical Research Institute, BM Birla Heart Research Centre, and Rukmani Birla Hospital. Together, the three entities have over 800 beds and offer comprehensive outpatient and inpatient services across Kolkata and Jaipur.

CKBH has an established team of physicians, surgeons, healthcare providers, and internationally trained nurses that serve up to 1,000 local and international patients per day during peak periods. 

AWS Services Used

Amazon EC2 Reserved Instances

Amazon EC2 Reserved Instances (RI) provide a significant discount (up to 72%) compared to On-Demand pricing and provide a capacity reservation when used in a specific Availability Zone.

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Amazon Simple Storage Service

Amazon Simple Storage Service (Amazon S3) is an object storage service that offers industry-leading scalability, data availability, security, and performance. 

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Amazon Virtual Private Cloud

Amazon Virtual Private Cloud (Amazon VPC) provisions the logically separated section of the AWS Cloud to activate the AWS resources inside the virtual network defined by the customer.

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Amazon EFS

Amazon Elastic File System (Amazon EFS) provides a simple, scalable, fully managed elastic NFS file system for use with AWS Cloud services and on-premises resources.

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